Provider Demographics
NPI:1134671191
Name:MILLS, ANNMARIE (RN)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4063 CENTAVO CT
Mailing Address - Street 2:
Mailing Address - City:HERNANDO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34607-3326
Mailing Address - Country:US
Mailing Address - Phone:845-866-8444
Mailing Address - Fax:
Practice Address - Street 1:4063 CENTAVO CT
Practice Address - Street 2:
Practice Address - City:HERNANDO BEACH
Practice Address - State:FL
Practice Address - Zip Code:34607-3326
Practice Address - Country:US
Practice Address - Phone:845-866-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9323650163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health